الفهرس 
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Abstract
The study aim: was to evaluate the effect of nursing guideline of reducing passive smoking hazards on pregnancy outcome. Research design: A quasi-experimental study Sample: a purposive sample in clude 214 pregannt women with passive smoking exposure from Ain Shams university maternity hospital. The total No. of the sample divided into two groups (control group and study group). Tools: five tools were used for data collection; structured interviewing questionnaire sheet, written exam tool (Pre/post/follow up test), attitude assessment tool, maternal and fetal assessment sheet, maternal and neonatal observation sheet, plus educational supportive material about effect of passive smoking on pregnant women and prevention. The results revealed that, there were 58.9%, 31.8%, 80.4%, and 62.6% of pregnant mothers among control group suffered from abnormal temperature, pulse rate, respiratory rate, and blood pressure respectively compared with, 93.5%, 72.9%, 72.0%, and 60.7% of them for study group had, there were 86.9% of mothers among study group delivered vaginally and 13.1% of them delivered by caesarean section while70.1% of mothers among control group delivered vaginally and 28.0% of them, by caesarean section study group had newborn with good health conditions and good abgar score compared with 70.1% for mothers of control group. Conclusion revealed that, more than two third of studied sample “both group” represented poor knowledge and attitude about passive smoking hazards on pregnancy at 1st trimaster while more than three quarter of study group who received specific nursing guideline were correct/ complete knowledge & attitude about passive smoking hazards at 2nd and 3rd trimaster of pregnancy. The study recommended that the nursing guide line intervention for pregnant women in first trimaster through session/ booklet or brochures and follow up tests were improved the women knowledge for reducing passive smoking hazards on pregnancy outcome.
Key words: passive smoking, pregnancy outcome, nursing guideline